- Bowery Residents Committee (Manhattan, NY)
- …plus. + Highly proficient with Microsoft Office tools. + Prior knowledge of electronic claims processing would be preferred . *Vaccination preferred but not ... required. MAKE AN IMPACTAre you looking to make a positive impact on the lives of those in your community? At BRC, our staff help New Yorkers experiencing homelessness reclaim their lives by providing a hand up, offering opportunities for health and… more
- Huntington Ingalls Industries (Syracuse, NY)
- …requests + Negotiates and settles with suppliers regarding damage claims , rejections, losses, return of materials, over-shipments, cancellations, and engineering ... a collaborative environment, with strong ability to take action and generate results Preferred Requirements + 5 + years' experience with FAR & DFAR implementation… more
- Molina Healthcare (NY)
- …+ Data analytics + Familiarity w/SDLC Methodologies: Agile, waterfall, etc. ** PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare, Medicaid, ... Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed… more
- St. Mary's Healthcare (Amsterdam, NY)
- …law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business ... substitute for education * Three (3) years' experience in a healthcare setting preferred * Experience developing end user reports is a plus * Functional knowledge… more
- Citigroup (Getzville, NY)
- …Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market products; ... the front office, operations, relationship managers and external clients. Analyst is expected to be able to: * Support...systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim… more
- Molina Healthcare (Albany, NY)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** +… more
- Molina Healthcare (Albany, NY)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- MTA (New York, NY)
- …for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + Responsible for the ... and assess loss picks, ensuring accuracy in estimating future claims costs. Oversees OCIP claims and settlements...cost, accuracy and best practices. + Monitors and manages claim reserves, working with TPAs and insurers to adjust… more
- MTA (New York, NY)
- …reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, insurance program placement, and other ... overall management of a staff of two: a senior analyst and a consultant. Select, develop, and motivate personnel...handling All Agency Fiduciary, Fidelity, and agency property insurance claims ( Claims valued over $100 million are… more
- Highmark Health (Albany, NY)
- …work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more